Effects of Clockwise and Counterclockwise Job Shift Work Rotation on Sleep and Work-Life Balance on Hospital Nurses

Dana Shiffer, Maura Minonzio, Franca Dipaola, Mattia Bertola, Antonio Roberto Zamuner, Laura Adelaide Dalla Vecchia, Monica Solbiati, Giorgio Costantino, Raffaello Furlan and Franca Barbic
Additional contact information
Dana Shiffer: Internal Medicine Humanitas Clinical and Research Center, 20089 Rozzano, Italy
Maura Minonzio: Internal Medicine Humanitas Clinical and Research Center, 20089 Rozzano, Italy
Franca Dipaola: Internal Medicine Humanitas Clinical and Research Center, 20089 Rozzano, Italy
Mattia Bertola: Surgery Department, Borgomanero Hospital, ASL Novara, 28021 Borgomanero, Italy
Antonio Roberto Zamuner: Departamento de Kinesiologia, Universidad Catolica del Maule, Talca 3480112, Chile
Laura Adelaide Dalla Vecchia: IRCCS Istituti Clinici Scientifici Maugeri, 20138 Milan, Italy
Monica Solbiati: Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, University of Milan, 20122 Milan, Italy
Giorgio Costantino: Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, University of Milan, 20122 Milan, Italy
Raffaello Furlan: Internal Medicine Humanitas Clinical and Research Center, 20089 Rozzano, Italy
Franca Barbic: Internal Medicine Humanitas Clinical and Research Center, 20089 Rozzano, Italy

IJERPH, 2018, vol. 15, issue 9, 1-10

Abstract: Rotational shift work is associated with sleep disturbances, increased risk of cardiovascular and psychological disorders, and may negatively impact work–life balance. The direction of shift rotation (Clockwise, CW or counterclockwise, CCW) and its role in these disorders are poorly understood. The aim of the study was to investigate the effect of the shift schedule direction on sleep quantity and quality, alertness and work performance, and on work–life balance on hospital nurses. One-hundred female nurses, working a continuous rapid shift schedule in hospitals in the north of Italy, participated in this cross-sectional study. Fifty worked on CW rotation schedule (Morning: 6 a.m.–2 p.m., Afternoon: 2 p.m.–10 p.m., Night: 10 p.m.–6 a.m., 2 rest days) and fifty on CCW rotation (Afternoon, Morning, Morning, Night, 3 rest days). Data were collected by ad hoc questionnaire and daily diary. During the shift cycle CW nurses slept longer (7.40 ± 2.24 h) than CCW (6.09 ± 1.73; p < 0.001). CW nurses reported less frequently than CCW awakening during sleep (40% vs. 80%; p < 0.001), attention disturbance during work (20% vs. 64%; p < 0.001), and interference with social and family life (60% vs. 96% and 20% vs. 70%, respectively; p < 0.001). CCW rotating shift schedule seems to be characterized by higher sleep disturbances and a worse work–life balance.

Keywords: shift work; sleep disturbances; work-life balance; hospital nurses; clockwise and counterclockwise shift rotation (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2018
References: View complete reference list from CitEc
Citations: View citations in EconPapers (5)

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